15817 (RPL)P.O. BOX 1504
Btiiloing , 78-495 CALLE TAMPICO
A6dress 9-4-740 Avenida Mamirez LA OUINTA, CALIFORNIA 92253
Sterling Domes
Mailing
Address pap. BOX 450
City Zip
Contractor
Address
Zip j Tel.:
State Lic. I City
& Classif. _ 638535 Lic. # 859
Arch., Engr.,
Designer
Address Tel.
City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION J
1 hereby affirm that 1 amylcensed under provisions of Chapter 9 (commencing with Section
700
0) of Di isiofn 33 of the Business and Professions Code, and my licensg _i"s, in full,force and
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec.. 703:1.5,8ustness and Professions Code: Any city or, county which requires a
permit to constrict, after, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisionsrof the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work. himself or through his own employees,
provided that such Improvements are not intended or offered for sale. If, however, the building
or Improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) Dcensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
Q e py is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that In the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT. lt, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of .the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES.UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,(x10), IN ADDITION TO THE COST.OF.COMPENSATIDN,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 160 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state'laws relating to building
construction, and hereby authorize representatives -of this city to enter the . above-.
mentioned property for Inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 15817
LDING: TYPE CONST. OCC. GRP.
P. Number
jai Description
,ject Description Swimming Pool
3' . rear and side yard setback reduction
approved per SEA 95-344
Sq. Ft. No. No. Dw.
Size Stories Units
Newt] Add ❑ Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation $9, 000.00
i
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
70-7-0
Const.
Mech.
Electrical
%n nim
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
2 29_ _0
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING; FEES
1ST FL. SQ. FT. $
UNITS
SLAB GRADE f
2ND FL. SQ. FT. ®
BONDING
YARD SPKLR SYSTEM '
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT, ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APP./EQUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
j MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING j
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
-
�/
LAUNDRYTRAY
AIR HANDLING UNIT ; CFM
KITCHEN SINK
ABSORPTION SYSTEM + B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING 1
SO.FT.GAR ® Y4c
HOUSE SEWER
MESH i
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE iPLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING �u Q
UNDERGROUND /
A.C. UNIT
COLL. AREA
SLAB GRADE f
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS 1
SEWER OR SEPTIC TANK
ROUGH WIRING
'DUCT WORK
ROCK STORAGE
FOUND. REINF. #
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM ]
WATER SYSTEM
C%S%��i"/�� iJ
FINAL INSP. /,
ry
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING j
FINAL INSP.
ROOFING #
-
�/
REMARKS:
VENTILATION t
1
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 1
MESH i
INSULATIONISOUND
FINISH GRADING 1
FINAL INSPECTION
CERT. OCC. 1
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
�1
r
5' BLOCK WALL
PLANTER
GATE 10'-0"
SCORE LINES,,. / : ��'r % :' ADDRESS: •54740 AVE. RAMIREZ, L.Q.
lEGAL: LOT 13 BLOCK .306 '
774 — 281 7, 012
'SCORE---
LINES
SCORE' LINES
EXISTING CONCRETE
PROPERTY
1
WATER.
5'-0"
6& FENCE
STEPS
LIGHT /. i _ f < < 'c� j POOL EQUIPMENT 4
WATER -.ETU r
WATER RETUR"N: r.
Pp�Lhlf'B._QSED gY.
- h 3 -s;. p;EA T BE
LEEP \ POOI ��;t. �- i�10E
* . DRAIN' ` y tVjIR�1{VIUM 5 � CL �
M4 ��IN
SCORE LINES s ALL GAT
:SCORE LINES.LF
A(j€'
/ *
Sao -
5' BLOCK WALL �•;:. SKIMMER � ftERTY LINE'
,O LINES pT �-rr, v� . �.�.
SCORE "' ._.. _ .._ y t – — _
@' MINT
AND ALL
PLANTER --./PROPERTY LINE 6' FENCE
BY
DATE
E
ADDRESS: 54740 AVE. RAMIREZ, LA QUINTA
MINIMUM RADIUS V-011 R
WATER SURFACE
oil
26' -0
"11
LONGITUDINAL SECTION ON
NO SCALE
CANTILEVER DECK
,J i i